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Re: Cytotec induction From: mborn (mborn@massmed.org) Thu Oct 24 15:53:15 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Cytotec induction" Previous message: R L Meisel: "Re: recurrent pregnancy loss" Maybe in reply to: Richard Chudacoff, MD: "Cytotec induction" Next in thread: Richard Chudacoff, MD: "Re: Cytotec induction" Myer: How about posting your protocol on the list ? or pleases send me a copy too. But I bet there are several out there who would like to see it. Dan O.K. Here it is Myer Date: October 24, 1996 From: Myer S. Bornstein, M.D., Chief Department of Obstetrics and Gynecology Subject: Misoprostol (Cytotec) for Cervical ripening and induction of labor Misoprostol (Cytotec) is a synthetic PGE1 analogue. For cervical ripening and induction: 1. Do NST 2. Insert 25 mcg. tablet in vagina 3. Standard V.S. 4. If patient with prior C/S insert IV and do T&S 5. can repeat dose every four hours up to a total of 6 doses. 6. Pitocin can be started four hours after last dose 7. After three to four hours patient can ambulate. 8. Watch for tachysystole, if occurs remove vaginal tablet (our cases have not shown any fetal distress) Second Protocol Oral Dosing 1. Do NST 2. Give 100 mcg. tablet p.o. 3. Standard V.S. 4. If patient with prior C/S insert IV and do T&S 5. Pitocin can be started four hours after last dose After three to four hours patient can be discharged home and to return if labor ensues of the next day for induction. Myer S. Bornstein, M.D., FACOG Chairman Department of Obs/Gyn Morton Hospital & Medical Center 88 Washington St. Taunton, MA mborn@massmed.org Next message: Richard Chudacoff, MD: "Re: Cytotec induction" Previous message: R L Meisel: "Re: recurrent pregnancy loss" Maybe in reply to: Richard Chudacoff, MD: "Cytotec induction" Next in thread: Richard Chudacoff, MD: "Re: Cytotec induction"

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